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Delays in TB Diagnosis and Treatment Initiation in Burkina Faso during the COVID-19 Pandemic

The COVID-19 pandemic has significantly disrupted TB services, particularly in low resource settings. In Burkina Faso, a cross-sectional ‘before and after’ study was conducted to assess the impact of COVID-19 on access to TB services. Data was collected in two phases (Phase 1: December 2017–March 20...

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Autores principales: Diallo, Adama, Combary, Adjima, Veronese, Vanessa, Dahourou, Désiré Lucien, Ouédraogo, Salifou, Traoré, Isidore Tiandiogo, Merle, Corinne Simone
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9500868/
https://www.ncbi.nlm.nih.gov/pubmed/36136648
http://dx.doi.org/10.3390/tropicalmed7090237
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author Diallo, Adama
Combary, Adjima
Veronese, Vanessa
Dahourou, Désiré Lucien
Ouédraogo, Salifou
Traoré, Isidore Tiandiogo
Merle, Corinne Simone
author_facet Diallo, Adama
Combary, Adjima
Veronese, Vanessa
Dahourou, Désiré Lucien
Ouédraogo, Salifou
Traoré, Isidore Tiandiogo
Merle, Corinne Simone
author_sort Diallo, Adama
collection PubMed
description The COVID-19 pandemic has significantly disrupted TB services, particularly in low resource settings. In Burkina Faso, a cross-sectional ‘before and after’ study was conducted to assess the impact of COVID-19 on access to TB services. Data was collected in two phases (Phase 1: December 2017–March 2018, and 2: October–December 2020) to estimate and compare various patient and system delays among TB patients before and during COVID-19 and explore changes in treatment seeking behaviors and practices. 331 TB patients were recruited across the two phases. A significant increase in median time between first symptom and contact with TB service (45 days vs. 26 days; p < 0.01) and decrease in median time between first contact and diagnosis, and treatment initiation, respectively, during COVID-19 compared to before. Fewer patients reported using public health centers and more patients reporting using private facilities as the point of first contact following TB symptom onset during the COVID-19 period compared to before. These findings suggest that COVID-19 has created barriers to TB service access and health seeking among symptomatic individuals, yet also led to some efficiencies in TB diagnostic and treatment services. Our findings can be help target efforts along specific points of the TB patient pathway to minimize the overall disruption of COVID-19 and future public health emergencies on TB control in Burkina Faso.
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spelling pubmed-95008682022-09-24 Delays in TB Diagnosis and Treatment Initiation in Burkina Faso during the COVID-19 Pandemic Diallo, Adama Combary, Adjima Veronese, Vanessa Dahourou, Désiré Lucien Ouédraogo, Salifou Traoré, Isidore Tiandiogo Merle, Corinne Simone Trop Med Infect Dis Article The COVID-19 pandemic has significantly disrupted TB services, particularly in low resource settings. In Burkina Faso, a cross-sectional ‘before and after’ study was conducted to assess the impact of COVID-19 on access to TB services. Data was collected in two phases (Phase 1: December 2017–March 2018, and 2: October–December 2020) to estimate and compare various patient and system delays among TB patients before and during COVID-19 and explore changes in treatment seeking behaviors and practices. 331 TB patients were recruited across the two phases. A significant increase in median time between first symptom and contact with TB service (45 days vs. 26 days; p < 0.01) and decrease in median time between first contact and diagnosis, and treatment initiation, respectively, during COVID-19 compared to before. Fewer patients reported using public health centers and more patients reporting using private facilities as the point of first contact following TB symptom onset during the COVID-19 period compared to before. These findings suggest that COVID-19 has created barriers to TB service access and health seeking among symptomatic individuals, yet also led to some efficiencies in TB diagnostic and treatment services. Our findings can be help target efforts along specific points of the TB patient pathway to minimize the overall disruption of COVID-19 and future public health emergencies on TB control in Burkina Faso. MDPI 2022-09-09 /pmc/articles/PMC9500868/ /pubmed/36136648 http://dx.doi.org/10.3390/tropicalmed7090237 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Diallo, Adama
Combary, Adjima
Veronese, Vanessa
Dahourou, Désiré Lucien
Ouédraogo, Salifou
Traoré, Isidore Tiandiogo
Merle, Corinne Simone
Delays in TB Diagnosis and Treatment Initiation in Burkina Faso during the COVID-19 Pandemic
title Delays in TB Diagnosis and Treatment Initiation in Burkina Faso during the COVID-19 Pandemic
title_full Delays in TB Diagnosis and Treatment Initiation in Burkina Faso during the COVID-19 Pandemic
title_fullStr Delays in TB Diagnosis and Treatment Initiation in Burkina Faso during the COVID-19 Pandemic
title_full_unstemmed Delays in TB Diagnosis and Treatment Initiation in Burkina Faso during the COVID-19 Pandemic
title_short Delays in TB Diagnosis and Treatment Initiation in Burkina Faso during the COVID-19 Pandemic
title_sort delays in tb diagnosis and treatment initiation in burkina faso during the covid-19 pandemic
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9500868/
https://www.ncbi.nlm.nih.gov/pubmed/36136648
http://dx.doi.org/10.3390/tropicalmed7090237
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